Individual provider Active NPI

Brianna Beaver, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1750148706
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24998 Issued in FL
Practice address
200 Knuth Rd Ste 200G
Boynton Beach, FL 33436-4693
Phone
(708) 212-8317
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW24998 FL Primary

Addresses

Primary practice location

200 Knuth Rd Ste 200G
Boynton Beach, FL 33436-4693

Mailing address

4832 Esedra CT Apt 103
Lake Worth, FL 33467-5004
Phone (708) 212-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000678 FL Practitioner - Clinical Social Worker 3779073341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Knuth Rd
Suite 200G
Boynton Beach, FL 33436-4693
Phone (708) 212-8317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24998FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Pet Therapy Inc Single Specialty CurrentSince Sep 6, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients

Locations

200 Knuth Rd
Ste 200G
Boynton Beach, FL 33436
Phone (561) 338-2273

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1750148706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 ESEDRA CT APT 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675004",
            "telephone_number": "708-212-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD STE 200G",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364693",
            "telephone_number": "708-212-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "BRIANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.